| Type of Incident: | Referee | 
| Date of Incident: | 2023-05-19 | 
| Time of Incident: | 18:30:00 | 
| Location of Incident: | Woodward Park - Woodward Park Field #4 | 
| Home Team: | MANTECA FUTBOL CLUB Manteca Futbol Club 10/11G | 
| Visiting Team: | Valley Surf Valley Surf 10G Black | 
| Age Group and Gender: | U13G | 
| Team Affiliation of Individual Committing Incident: | MANTECA FUTBOL CLUB Manteca Futbol Club 10/11G | 
| Incident Summary: | Dual referee system used.  | 
| Comments: | This is not a PAD issue, please file a Game Protest Form using the following link: https://system.gotsport.com/forms/8F8275463.  No action taken.  |